This young woman underwent bilateral prophylactic nipple-sparing mastectomy with her breast surgeon. During the same surgery, Dr. Burgess place tissue expanders and Alloderm underneath the muscle. She was expanded every couple weeks for 3 months, and then underwent tissue expander removal with silicone implant placement. Both silicone implants are manufactured by Sientra and are 415ml. She is about one month post op from implant placement.